Individual
MR. KYLE PATRICK GIBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
300 W CLARENDON AVE STE 140, PHOENIX, AZ 85013-3449
(602) 282-8850
Mailing address
300 W CLARENDON AVE STE 140, PHOENIX, AZ 85013-3449
(602) 282-8850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-6102T
AZ
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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